Individual
CASSANDRA PROSISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9305 W THOMAS RD STE 380, PHOENIX, AZ 85037-3368
(623) 327-4144
Mailing address
9561 W HATCHER RD, PEORIA, AZ 85345-6325
(623) 297-3598
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
250395
AZ
Other
Enumeration date
11/24/2020
Last updated
06/24/2021
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